Systems and methods for planning a surgical procedure and evaluating the performance of a surgical procedure

ABSTRACT

A system facilitating planning of a surgical procedure includes one or more storage devices, one or more input devices, a processor, and a memory. The storage device(s) stores, for previous surgical procedures, surgical instrument information, procedure information, and patient information. The input device(s) is configured to receive procedure information and patient information corresponding to a surgical procedure to be performed. The memory stores instructions that, when executed by the processor, cause the processor to identify similar previous surgical procedures, identify outcome information for each of the similar previous surgical procedures, determine whether there is a correlation between the surgical instrument information of the similar previous surgical procedures and the outcome information of the similar previous surgical procedures, and, if a correlation is determined, output the correlation to facilitate planning of the surgical procedure to be performed.

BACKGROUND Technical Field

The present disclosure relates to surgical planning and evaluation and,more particular, to systems and methods facilitating planning of asurgical procedure utilizing data from prior similar surgical proceduresand/or evaluating performance of a surgical procedure utilizing datafrom targeted prior surgical procedures.

Background of Related Art

A particular surgical task may be performed using various differentsurgical instruments. Even where the same instruments are utilized, thesequence and/or manner in which the instruments are utilized may varygreatly. The selection of different instruments, the use of instrumentsin different sequences, and/or the use of instruments in differentmanners may be based on a multitude of factors including patient-basedfactors (condition, demographics, medical history, genetic/familyhistory information, etc.), environmental factors (geographicallocation, instrumentation available, patient length of stay, etc.),surgeon-based factors (surgeon's training/education, surgeon'spreference, surgeon's experience etc.), and/or pre-surgicalevaluation-based factors (pathology reports, surgeon's pre-operativenotes, etc.)

Given the larger number of factors involved, determining theinstruments, sequence of use of the instruments, and manner of use ofthe instruments that is likely to yield the best patient outcome isexceedingly difficult. Likewise, evaluating the performance of asurgical procedure is exceedingly difficult given the numerous factors,aside from the performance of the surgeon, that may affect the outcome.

It would therefore be advantageous to provide systems and methods thatfacilitate planning of a surgical procedure and/or evaluatingperformance of a surgical procedure.

SUMMARY

As used herein, the term “distal” refers to a portion that is beingdescribed which is further from a user, while the term “proximal” refersto a portion that is being described which is closer to a user. Further,to the extent consistent, any of the aspects described herein may beused in conjunction with any or all of the other aspects describedherein.

A system facilitating planning of a surgical procedure provided inaccordance with the present disclosure includes one or more storagedevices, one or more input devices, a processor, and a memory. Thestorage device(s) stores, for each of a plurality of previous surgicalprocedures, surgical instrument information, procedure information, andpatient information. The input device(s) is configured to receiveprocedure information and patient information corresponding to asurgical procedure to be performed. The memory stores instructions that,when executed by the processor, cause the processor to identify similarprevious surgical procedures by comparing the procedure information andthe patient information of the surgical procedure to be performed withthe procedure information and the patient information of the pluralityof previous surgical procedures, identify outcome information for eachof the similar previous surgical procedures, determine whether there isa correlation between the surgical instrument information of the similarprevious surgical procedures and the outcome information of the similarprevious surgical procedures, and if a correlation is determined, outputthe correlation to facilitate planning of the surgical procedure to beperformed.

In aspects of the present disclosure, the patient information for eachof the plurality of previous surgical procedures and/or the patientinformation for the surgical procedure to be performed include patientdemographic information.

In aspects of the present disclosure, the procedure information for eachof the plurality of previous surgical procedures and/or the procedureinformation for the surgical procedure to be performed includesinformation regarding one or more surgical tasks.

In aspects of the present disclosure, the surgical instrumentinformation for each of the plurality of previous surgical proceduresincludes surgical instrument type information and surgical instrumentactivation information.

In aspects of the present disclosure, the system further includes aplurality of surgical instruments configured to record surgicalinstrument information corresponding thereto during use thereof. Therecorded surgical instrument information is transmitted to the storagedevice(s) for storage as part of the surgical instrument information foreach of the plurality of previous surgical procedures.

A method facilitating planning of a surgical procedure provided inaccordance with the present disclosure includes storing, for each of aplurality of previous surgical procedures, surgical instrumentinformation, procedure information, and patient information. The methodfurther includes receiving procedure information and patient informationcorresponding to a surgical procedure to be performed, identifyingsimilar previous surgical procedures by comparing the procedureinformation and the patient information of the surgical procedure to beperformed with the procedure information and the patient information ofthe plurality of previous surgical procedures, identifying outcomeinformation for each of the similar previous surgical procedures,determining whether there is a correlation between the surgicalinstrument information of the similar previous surgical procedures andthe outcome information of the similar previous surgical procedures,and, if a correlation is determined, outputting the correlation tofacilitate planning of the surgical procedure to be performed.

In aspects of the present disclosure, the method initially includesrecording the surgical instrument information for each of the pluralityof previous surgical procedures during each of the plurality of previoussurgical procedures, and transmitting the surgical instrumentinformation for storage thereof.

In aspects of the present disclosure, receiving the procedureinformation corresponding to the surgical procedure to be performedincludes receiving the procedure information from a manual input and/oran EMR. Receiving the patient information corresponding to the surgicalprocedure to be performed may additionally or alternatively includereceiving the procedure information from a manual input and/or an EMR.

In aspects of the present disclosure, the patient information for eachof the plurality of previous surgical procedures and/or the patientinformation for the surgical procedure to be performed include patientdemographic information.

In aspects of the present disclosure, the procedure information for eachof the plurality of previous surgical procedures and/or the procedureinformation for the surgical procedure to be performed includesinformation regarding one or more surgical tasks.

In aspects of the present disclosure, the surgical instrumentinformation for each of the plurality of previous surgical proceduresincludes surgical instrument type information and surgical instrumentactivation information.

In aspects of the present disclosure, the method further includesidentifying previously determined correlations and, if previouslydetermined correlations are identified, outputting the previouslydetermined correlation to facilitate planning of the surgical procedureto be performed.

A method for evaluating performance of a surgical procedure provided inaccordance with the present disclosure includes storing, for each of aplurality of previous surgical procedures: surgical instrumentinformation, procedure information, and patient information. The methodfurther includes receiving surgical instrument information, procedureinformation, and patient information corresponding to a surgicalprocedure to be evaluated, identifying target previous surgicalprocedures based on the procedure information and the patientinformation of the plurality of previous surgical procedures, comparingthe surgical instrument information of the surgical procedure to beevaluated with the surgical instrument information of the targetprevious surgical procedures, and outputting the comparison to enableevaluation of performance of the surgical procedure to be evaluated.

In aspects of the present disclosure, identifying the target previoussurgical procedures includes comparing the procedure information and thepatient information of the surgical procedure to be evaluated with theprocedure information and the patient information of the plurality ofprevious surgical procedures. Alternatively or additionally, identifyingthe target previous surgical procedures may include searching theprocedure information and the patient information of the plurality ofprevious surgical procedures for target information.

In aspects of the present disclosure, the target previous surgicalprocedures are identified based on the procedure information and thepatient information of successful ones of the plurality of previoussurgical procedures.

In aspects of the present disclosure, the patient information for eachof the plurality of previous surgical procedures and/or the patientinformation for the surgical procedure to be evaluated includes patientdemographic information.

In aspects of the present disclosure, the procedure information for eachof the plurality of previous surgical procedures and/or the procedureinformation for the surgical procedure to be evaluated includesinformation regarding one or more surgical tasks.

In aspects of the present disclosure, the surgical instrumentinformation for each of the plurality of previous surgical proceduresand/or the surgical instrument information for the surgical procedure tobe evaluated includes surgical instrument type information and surgicalinstrument activation information.

BRIEF DESCRIPTION OF THE DRAWINGS

Various aspects and features of the present disclosure are describedherein with reference to the drawings wherein:

FIG. 1 is a schematic illustration of a system provided in accordancewith the present disclosure including a surgical area having one or moresurgical instruments, a local area having one or more devices, and aremote area having one or more devices;

FIG. 2 is a block diagram of one of the surgical instruments of thesurgical area, one of the devices of the local area, and one of thedevices of the remote area of the system of FIG. 1;

FIG. 3 is a flow diagram illustrating a method of facilitating planningof a surgical procedure provided in accordance with the presentdisclosure; and

FIG. 4 is a flow diagram illustrating a method of evaluating performanceof a surgical procedure provided in accordance with the presentdisclosure.

DETAILED DESCRIPTION

Turning to FIG. 1, a system provided in accordance with the presentdisclosure is shown generally identified by reference numeral 10. System10 extends over one or more surgical areas 12, one or more local areas14, and one or more remote areas 16, although other configurations arealso contemplated. Each surgical area 12 is an area wherein surgicalprocedures are performed. As can be appreciated, a plurality of surgicalareas 12 across a hospital network, political or geographical area, etc.may be included in system 10. Each surgical area 12 includes a pluralityof surgical instruments 100, e.g., a cordless ultrasonic dissector andcoagulator 110, a powered surgical stapler 120, an electrosurgicalgenerator 130, a surgical clip applier 140, an electrosurgical forceps150, and a robotic surgical system 160, some or all of which areconfigured for use complementarily with one another or alternatively toone another. One or more of surgical instruments 100 may be configuredto obtain, store, and/or transmit surgical instrument information suchas, for example: identifying information of the surgical instrument(s)100; a number, pattern, sequence, and/or density of activations (e.g.,energy activations, firings, articulations, rotations, etc.) of surgicalinstrument(s) 100; power level settings of surgical instrument(s) 100;modes of operation of surgical instrument(s) 100; time duration ofactivations of surgical instrument(s) 100; electrical parameters ofsurgical instrument(s) 100; pressure, temperature, or other feedbackdata received from surgical instrument(s) 100 regarding surgicalinstrument(s) 100 and/or patient tissue; and/or other operational data,usage data, status data, notifications, etc. In addition or as analternative to surgical instrument(s) 100 obtaining, storing, and/ortransmitting the surgical instrument information, such information maybe obtained, stored, and/or transmitted with other instrument(s) and/ormanually. Further, although particular surgical instruments 110, 120,130, 140, 150, 160 are illustrated, other suitable surgical instrumentsmay additionally or alternatively be utilized in accordance with thepresent disclosure. Likewise, different surgical areas 12 may includedifferent surgical instruments 100 or combinations of instruments 100.

Each local area 14 is an area where medical professionals, e.g.,surgeons, nurses, technicians, etc., prepare for, perform, and/orfollow-up on surgical procedures. Thus, one or more of the local areas14 may partially or fully overlap, encompass, or be encompassed by oneor more of the surgical areas 12. Each local area 14 includes one ormore devices 200, e.g., a graphical user interface 210, tablet orsmartphone 220, personal computer 230, server 240, and/or router 250.Remote area 16 is an area remote from surgical area(s) 12 where data isreceived, stored, and/or transmitted. Remote area 16 includes one ormore devices 300, e.g., a personal computer 310 and a server 320,although it is contemplated that remote area and one or more of thelocal areas 14 may be at least partially interchangeable or one and thesame (local or remote relative to surgical area(s) 12).

Devices 200, 300 are configured to receive, store, and/or transmit thesurgical instrument information, patient information, and procedureinformation. Patient information may include information regarding apatient that has or will undergo a particular surgical procedure. Suchinformation, more specifically, may include: a patient's condition,demographics (age, height/weight, sex, ethnicity, etc.), medicalhistory, genetic/family history, patient length of stay information,pathology information, patient indications/symptoms, etc. Patientinformation may be input by a patient, medical professional, or otherpersonnel; may be retrieved from an electronic medical record (EMR);and/or may be extracted from another information database, for example.Suitable security and encryption protocols may be implemented on oracross devices 200, 300 and/or other components of system 10 or incommunication therewith to ensure HIPAA compliance.

Procedure information includes information regarding a surgicalprocedure. Such information, more specifically, includes: the surgicaltask(s) intended to be performed and/or actually performed or attempted,surgical team information (number of team members, number of surgeons,surgeon's training/education, surgeon's preference, surgeon'sexperience, etc.), hospital geographical data (country, state, zipcode), outcome information (whether or not the surgical task(s) wassuccessful, post-surgical recovery information, incremented survivaldata, complications, unusual findings/results), etc. Procedureinformation may be input by a patient, medical professional, or otherpersonnel; may be retrieved from an electronic medical record (EMR);and/or may be extracted from another source, e.g., government (CDC, FDA,etc.) database, published study, etc., for example.

Devices 200 and/or devices 300 are configured to associate the surgicalinstrument information, patient information, and procedure informationfor each surgical procedure and to store the same in one or moresearchable databases. These one or more databases, as detailed below,may be utilized to facilitate planning of a surgical procedure byenabling a user to retrieve information from prior similar surgicalprocedures and/or to evaluate performance of a surgical procedureutilizing information from targeted prior surgical procedures.

Referring to FIG. 2, in conjunction with FIG. 1, a configuration 1000 ofone or more of the surgical instruments 100 of surgical area 12, aconfiguration 2000 of one or more of the devices 200 of local area 14,and a configuration 3000 of one or more of the devices 300 of remotearea 16 are illustrated, although the aspects and features detailedhereinbelow likewise apply to other surgical instruments 100, devices200, and devices 300. Although only one configuration 1000 is detailedbelow, it is understood that for each surgical instrument 100 orcombination of surgical instruments 100 configured for use with oneanother, a configuration 1000 is provided. As such, surgical instrumentinformation, as detailed below, may be relayed from each of a pluralityof surgical instruments 100 or combination of surgical instruments 100to devices 200, 300. Likewise, multiple configurations 2000, 3000 may beprovided.

Configuration 1000 may be implemented within one surgical instrument100, e.g., cordless ultrasonic dissector and coagulator 110 or poweredsurgical stapler 120, or may be implemented across multiple surgicalinstruments 100, e.g., electrosurgical forceps 1050 and electrosurgicalgenerator 1030. Configuration 1000 includes, for example, a storagedevice 1010, a processor 1020, a user interface (UI) 1040, one or moresensors 1050, and an input/output 1060. Storage device 1010 may includeany suitable component(s), e.g., a magnetic disk, flash memory, opticaldisk, or other suitable data storage device, operable for storingsurgical instrument information obtained during the use of the one ormore surgical instruments 100.

Processor 1020 may include any suitable component(s), e.g., a centralprocessing unit (CPU) and a memory, operable to execute instructions tooperate the one or more surgical instruments 100 and to receive,process, manipulate, and/or output the information stored in storagedevice 1010.

User interface (UI) 1040 includes any actuators, buttons, switches,GUI's, etc. of surgical instrument 100 that enable a user to operate theone or more surgical instruments 100. Inputs into UI 1040 may directlyoperate the one or more surgical instruments 100, e.g., in the case ofmechanical component, electromechanical components, or electricalswitching components. Alternatively or additionally, inputs into UI 1040may be fed to processor 1020 to enable processor 1020 to operate the oneor more surgical instruments 100 in accordance with the input(s)provided and/or communicate with other devices and/or instruments toeffect operation of the one or more surgical instruments 100 in aparticular manner. Some or all of the information utilized in operatingthe one or more surgical instruments 100, as can be appreciated, isstored in storage device 1010 as surgical instrument information. UI1040 may also allow for the input of data, instructions, settings, etc.,which may also constitute surgical instrument information to be storedin storage device 1010.

Sensors 1050 may include distinct sensor components disposed on orseparate from the one or more surgical instruments 100 and/or may beincorporated into components of the one or more surgical instruments100, e.g., processor 1020 and/or UI 1040, in electrical, mechanical,electromechanical, software, hardware, combinations thereof, or othersuitable configurations so as to enable the collection of surgicalinstrument information during use of the one or more surgicalinstruments 100. Thus, sensors 1050 are capable of sensing some or allof the surgical instrument information noted above. With respect toembodiments where configuration 1000 is implemented acrosselectrosurgical forceps 150 and electrosurgical generator 130, forexample, sensors 150 may be configured to sense a number, pattern,sequence, and/or density of energy activations and knife deploymentactivations, time durations of energy activations and knife deploymentactivations; electrical parameters of input and output energytransmitted between the electrosurgical forceps 150 and the generator130, pressure, temperature, impedance, or other feedback data receivedfrom tissue treated using electrosurgical forceps 150, etc.

With respect to embodiments where configuration 1000 is implemented incordless ultrasonic dissector and coagulator 110, as another example,sensors 1050 may be configured to sense a number, pattern, sequence,and/or density of ultrasonic activations, power level settings, e.g.,high power or lower power, corresponding to each ultrasonic activation,time durations of ultrasonic activations, electrical parameters of thegenerator, transducer, and/or battery of ultrasonic dissector andcoagulator 110, temperature or other feedback data received fromultrasonic dissector and coagulator 110 regarding ultrasonic dissectorand coagulator 110 and/or patient tissue, etc.

With respect to embodiments where configuration 1000 is implemented inpowered surgical stapler 120, as yet another example, sensors 1050 maybe configured to sense keystroke data regarding the number, pattern,sequence, duration, and/or density of depressions of the clamp button,fire button, right articulate button, left articulate button, rotationbuttons, etc. Sensors 1050 may further be configured to sense electricalparameters of the battery and/or motors of powered surgical stapler 120,the particular end effector utilized (e.g., linear stapler, circularstapler, the size, type, number of staples contained within the endeffector, etc.), the result of any firing(s), e.g., whether a complete,partial, or failed firing was effected, the result of tissue cutting,the gap and/or pressure exerted on clamped and/or stapled tissue, etc.

Regardless of the particular implementation of configuration 1000, theinformation obtained by sensors 1050 is stored in storage device 1010 assurgical instrument information. Input/output 1060 is provided tofacilitate communication of the surgical instrument information fromstorage device 1010 to other instruments within surgical area 12 and/orto one or more of the devices 200 within local area 14 (and/or one ormore of the devices 300 within remote area 16). Input/output 1060 may beconfigured for wired or wireless communication and may communicate thesurgical instrument information in real-time, periodically, uponoccurrence of a particular even (entry into standby mode, connection toa charger or other device, etc.), and/or upon request. Input/output 1060also enables the input of information to configuration 1000, e.g.,software updates.

Continuing with reference to FIG. 2, in conjunction with FIG. 1,configuration 2000 may be implemented within one device 200 of localarea 14, may be implemented across multiple devices 200 within localarea 14, or may be implemented across multiple areas 12, 14, 16.Configuration 2000 may include, for example, one or more storage devices2010, a processor 2020, a UI 2040, and an input/output 2060. Storagedevices 2010 may include any suitable component(s), e.g., a magneticdisk, flash memory, optical disk, or other suitable data storage device,operable for storing the surgical instrument information obtained fromthe one or more surgical instruments 100 of surgical area 12, e.g., amagnetic disk, flash memory, optical disk, or other suitable datastorage device.

Processor 2020 may include any suitable component(s), e.g., a centralprocessing unit (CPU) and a memory, operable to execute instructions toreceive, process, manipulate, store, and/or output information. Userinterface (UI) 2040 includes any GUI, keyboard, mouse, etc. that enable,for example, the input of patient information and/or procedureinformation. Input/output 2060 is configured to enable the receiptand/or transmission of patient information and/or procedure information,in addition to receiving the surgical instrument information. Some orall of the surgical instrument information, patient information, and/orprocedure information received may be processed, manipulated, and storedin storage devices 2010, e.g., in one or more searchable databases. Asdetailed below, processor 2020 may be configured to search suchdatabase(s) of storage device 2010, 3010 and identify similaritiesand/or correlations between a surgical procedure that will be performedor has been performed (“a current case”) and historical cases (“previouscases”) stored in the database(s).

Continuing with reference to FIG. 2, in conjunction with FIG. 1,configuration 3000 may be implemented within one device 300 of remotearea 16, may be implemented across multiple devices 300 within remotearea 16, or may be implemented across multiple areas 12, 14, 16.Configuration 3000 may include, for example, one or more storage devices3010, a processor 3020, a UI 3040, and an input/output 3060. Storagedevices 3010 may include any suitable component(s), e.g., a magneticdisk, flash memory, optical disk, or other suitable data storage device,operable for storing surgical instrument information, patientinformation, and/or procedure information and may additionally oralternatively store information that may be transmitted or accessed tofacilitate processing of the surgical instrument information, patientinformation, and/or procedure information. For example, storage devices3010 may store data from surgical instrument manufacturers regarding thesurgical instrument(s) 100 to enable the interpretation of the surgicalinstrument information, may serve as an EMR repository from whichpatient information and/or procedure information may be retrieved, maystore geographic and/or demographic information regarding surgical areas12, may store education, training, and/or experience informationregarding surgeons and/or surgical teams, etc.

Processor 3020 may include any suitable component(s), e.g., a centralprocessing unit (CPU) and a memory, operable to execute instructions toreceive, process, manipulate, store, and/or output information. Userinterface (UI) 3040 includes any GUI, keyboard, mouse, etc. that enable,for example, the input of patient information and/or procedureinformation. Input/output 3060 is configured to enable the receiptand/or transmission of surgical instrument information, patientinformation, procedure information, and/or other information useful inprocessing the surgical instrument information, patient information,and/or procedure information. Some or all of this information may beprocessed, manipulated, and stored in storage devices 3010, e.g., in oneor more searchable databases. In addition to or as an alternative toprocessor 2020, processor 3020 may be configured to search suchdatabase(s) of storage devices 2010, 3010 and identify similaritiesand/or correlations between a surgical procedure that will be performedor has been performed (referred to hereinbelow as a “current case”) andthat of historical cases stored in the database(s) (referred tohereinbelow as “previous cases”).

As detailed above, devices 200 and/or devices 300 are configured toprocess, manipulate, and store the surgical instrument information,patient information, and procedure information for each surgicalprocedure and to store the same in one or more searchable databases toenable the use of such information in planning of a surgical procedure.An exemplary method of the same is detailed below and may be implementedusing the above-detailed system 10 or any other suitable system.

Turning to FIG. 3, at S410 and S420, procedure information and patientinformation, respectively, for a current case are obtained. At S430,previous cases may be searched, e.g., using the searchable database(s)of system 10 (FIG. 1), and the results analyzed, e.g., using processor2020 and/or processor 3020 (FIG. 2), to identify previous cases withsimilar procedure information as the current case. Determining whether aprevious case includes similar procedure information may be accomplishedin any suitable fashion such as, for example, determining a percentagematch between the current case procedure information and the procedureinformation from previous cases. More specifically, with respect topercentage matching, where the percentage of the procedure informationfrom a previous case that matches (within a particular range) theprocedure information from the current case meets or exceeds aparticular threshold, the procedure information for that previous caseis considered to be similar. The percentage matching may be weighted orunweighted, thus enabling the emphasizing or deemphasizing of certainprocedure information. Determining whether a previous case includessimilar procedure information may also be accomplished by requiringmatches of select procedure information. For example, a partial or fullmatch in the surgical task(s) to be performed may result in theprocedure information from the previous case being considered similar tothat of the current case. Further, percentage matching and matching ofselect procedure information may be utilized in conjunction with oneanother, for example, where previous cases with a partial or full matchin the surgical task(s) to be performed are first determined and then,from these results, previous cases with similar procedure informationare determined based upon a percentage match of other procedureinformation.

Once previous cases with similar procedure information are identified,the patient information from such cases is compared to the patientinformation for the current case, as indicated at S440, such that, asindicated at S450, similar previous cases may be identified. Similarlyas with the comparison of procedure information, the comparison ofpatient information may be accomplished using percentage matching,matching of select patient information, or combinations thereof. A“match” with regard to at least some of the patient information mayinclude a match within a particular range. For example, with respect toa current patient that is 57 years old, a match of patient age may bereturned for all previous cases where the patent information indicates apatient age from 55 years old to 59 years old. Other patientinformation, on the other hand, may require a direct match.

Although S410-S440 are detailed wherein determining similar previouscases is accomplished first by comparing procedure information and thencomparing those results to patient information, the reverse is alsocontemplated. That is, similar previous cases may be identified by firstcomparing patient information and then, utilizing the results thereof,comparing procedure information. Further still, similar previous casesmay be determined from a combination of procedure information andpatient information concomitantly.

Turning to S450, if an insufficient number of similar previous cases areidentified, “NO” at S450, the method proceeds to S520. However, if asufficient number of similar previous cases are identified, “YES” atS450, the method proceeds to S460, where surgical instrument informationfrom such similar previous cases is obtained. After, prior to, or at thesame time as obtaining the surgical instrument information from similarprevious cases, outcome information from such similar previous cases isidentified, as indicated at S470. The outcome information may bedirectly pulled from the procedure information, may be separatetherefrom, or may be determined based upon the procedure informationand/or patient information obtained. Outcome information may includeand/or be based on, for example, post-surgical recovery information,incremented survival data (2 weeks, 6 months, 1 year, 5 years, etc.),the extent of success of the surgical task(s) sought to be accomplished,complications, etc.

At S480, the outcome information from the similar previous cases isgrouped based upon the surgical instrument information from the similarprevious cases such that, as indicated in S490, it can be determinedwhether there is a correlation between the outcome information and thesurgical instrument information for the similar previous cases.Correlations may be determined in any suitable fashion and may indicatedirect correlations, e.g., that using a particular set of surgicalinstruments in a particular manner yields a particular success rate fora given surgical task, or relative correlations, e.g., that using aparticular set of surgical instruments in a particular manner isrelatively more successful (by a particular percentage) than usinganother set of surgical instruments and/or the same surgical instrumentsin a different manner. Further, correlations may include broadercorrelations, e.g., pertaining to surgical instrument(s) type, and/ormore specific correlations, e.g., pertaining to a particular use of thesurgical instrument(s).

If no correlation is determined at S490, the method proceeds to S520.However, if a correlation is determined in S490, the correlation isrecorded at S500, for future use, and is output at S510. Recordingcorrelations for future use may obviate S460-S480 and enable priorcorrelations to be identified in S490 in place thereof, or may be usedin conjunction with S460-S480 to enable updating of prior correlationswith additional data from previous similar cases. The correlation may beoutput in S510, e.g., displayed on one or more of devices 200, 300(FIGS. 1 and 2). For example, a table, chart, and/or other graphicaldisplay may be provided indicating the correlations determined.

Correlating surgical instrument information and outcome information fromprior similar cases and presenting the same facilitates thedetermination of what surgical instrument(s) to utilize and in whatmanner to utilize them while minimizing outcome-effecting factorsunrelated (or less related) to the surgical instruments(s) utilizedand/or the manner in which they are utilized. For example, theabove-detailed system 10 (FIG. 1) and method may indicate that, for aparticular patient in a particular environment, using a first surgicalinstrument may provide a greater likelihood of success than using asecond surgical instrument, despite overall statistics (across alldemographics and environments) indicating that the second surgicalinstrument provides a greater likelihood of success. As another example,the above-detailed system 10 (FIG. 1) and method may indicate that,despite a particular surgical instrument being generally successful inaccomplishing a particular surgical task, over-utilizing the surgicalinstrument, under-utilizing the surgical instrument, and/or utilizingthe surgical instrument in a particular manner may detrimentally impactthe likelihood of success of the surgical task.

After using the output correlation information from S510 to determinethe appropriate surgical instrument(s) to be utilized and/or the mannerof use thereof, the surgical procedure is performed at S520 and thesurgical instrument information, patient information, and procedureinformation is recorded at S530, although at least some of the surgicalinstrument information, patient information, and procedure informationmay be obtained and recorded prior to or during the surgical procedure.

The above-detailed system 10 (FIG. 1) and method are furtheradvantageous in that, as more surgical procedures are performed and,thus, more surgical instrument information, procedure information, andpatient information is obtained, e.g., as the above-detailed method isrepeated, additional and/or more specific correlations may be drawn out,thus further facilitating the planning of future surgical procedures.

Turning to FIG. 4, as detailed above, devices 200 and/or devices 300(FIGS. 1 and 2) are configured to process, manipulate, and store thesurgical instrument information, patient information, and procedureinformation for each surgical procedure and to store the same in one ormore searchable databases to enable the use of such information inevaluating performance of a surgical procedure. A method of the same isdetailed below and may be implemented using the above-detailed system 10(FIG. 1) or any other suitable system.

At S610, surgical instrument information, procedure information, andpatient information from the procedure being evaluated are obtained. AtS620A, the procedure information and patient information are compared tothe procedure information and patient information of previous cases,similarly as detailed above, to identify similar cases. Additionally oralternatively, at S620B, previous cases having particular procedureinformation and/or patient information are searched to identifyparticular cases (regardless of whether similar to the procedure beingevaluated). Thus, based on S620A and/or S620B, target cases can beidentified at S630 from the similar cases, the particular cases, orcombinations thereof. More specifically, target cases can be identifiedby determining previous cases that include: similar procedureinformation and/or patient information as that of the procedure to beevaluated (e.g., in S620A); and/or selected procedure information and/orpatient information (e.g., in S620B). For example, target cases can beidentified that are performed by surgeons in other areas and/or withother experience, specialties, support, etc., as identified in S620B,and that are otherwise similar in terms of patient information and/orprocedure information, as identified in S620A. As another example,target cases that are similar in terms of patient information and/orprocedure information, as identified in S620A, and that have aparticular outcome, e.g., success, required post-operative hospitalstay, complications, etc., different from the outcome in the procedurebeing evaluated, as identified in S620B, can be selected.

Turning to S630, if an insufficient number of similar previous cases areidentified, “NO” at S630, there is insufficient information to performan evaluation and the method ends. However, if a sufficient number ofsimilar previous cases are identified, “YES” at S630, the methodproceeds to S640, where the surgical instrument information from thetarget cases is compared to the surgical instrument information from theprocedure being evaluated. The results of this comparison are output atS650, e.g., in a table, chart, and/or other graphical display. Theoutput may be displayed, for example, on one or more of devices 200, 300(FIGS. 1 and 2). Such output may provide a display including, forexample, a graph indicating the activation amounts or levels, activationdurations, and/or activation sequences of the surgical instrumentsutilized in the procedure being evaluated versus that of the targetcase(s) (individually or as an average). As such, it can be determinedwhether the procedure being evaluated is being performed in a similarmanner as the target cases or differently therefrom. If different, suchmay indicate whether or not the manner in which the procedure wasperformed impacted the outcome. If similar, such may indicate atechnique or other flaw in performance that resulted in a differentoutcome (if indeed different) despite the procedure being performed in asimilar manner. Regardless of the particular display and/or conclusionsdrawable therefrom, by identifying target cases as detailed above, othervariables that my affect the manner in which the procedure was performedand/or the outcome thereof can be minimized and, thus, an evaluationfocused on performance of the surgical procedure may be more easilyundertaken.

From the foregoing and with reference to the various figure drawings,those skilled in the art will appreciate that certain modifications canalso be made to the present disclosure without departing from the scopeof the same. While several embodiments of the disclosure have been shownin the drawings, it is not intended that the disclosure be limitedthereto, as it is intended that the disclosure be as broad in scope asthe art will allow and that the specification be read likewise.Therefore, the above description should not be construed as limiting,but merely as exemplifications of particular embodiments. Those skilledin the art will envision other modifications within the scope and spiritof the claims appended hereto.

What is claimed is:
 1. A system facilitating planning of a surgicalprocedure, the system comprising: at least one storage device storing,for each of a plurality of previous surgical procedures: surgicalinstrument information, procedure information, and patient information;at least one input device configured to receive procedure informationand patient information corresponding to a surgical procedure to beperformed; and a processor and a memory storing instructions that, whenexecuted by the processor, cause the processor to: identify similarprevious surgical procedures by comparing the procedure information andthe patient information of the surgical procedure to be performed withthe procedure information and the patient information of the pluralityof previous surgical procedures; identify outcome information for eachof the similar previous surgical procedures; determine whether there isa correlation between the surgical instrument information of the similarprevious surgical procedures and the outcome information of the similarprevious surgical procedures; and if a correlation is determined, outputthe correlation to facilitate planning of the surgical procedure to beperformed.
 2. The system according to claim 1, wherein the patientinformation for each of the plurality of previous surgical proceduresand the patient information for the surgical procedure to be performedeach includes patient demographic information.
 3. The system accordingto claim 1, wherein the procedure information for each of the pluralityof previous surgical procedures and the procedure information for thesurgical procedure to be performed each includes information regardingat least one surgical task.
 4. The system according to claim 1, whereinthe surgical instrument information for each of the plurality ofprevious surgical procedures includes surgical instrument typeinformation and surgical instrument activation information.
 5. Thesystem according to claim 1, further comprising a plurality of surgicalinstruments configured to record surgical instrument informationcorresponding thereto during use thereof, wherein the recorded surgicalinstrument information is transmitted to the at least one storage devicefor storage as part of the surgical instrument information for each ofthe plurality of previous surgical procedures.
 6. A method facilitatingplanning of a surgical procedure, the method comprising: storing, foreach of a plurality of previous surgical procedures: surgical instrumentinformation, procedure information, and patient information; receivingprocedure information and patient information corresponding to asurgical procedure to be performed; identifying similar previoussurgical procedures by comparing the procedure information and thepatient information of the surgical procedure to be performed with theprocedure information and the patient information of the plurality ofprevious surgical procedures; identifying outcome information for eachof the similar previous surgical procedures; determining whether thereis a correlation between the surgical instrument information of thesimilar previous surgical procedures and the outcome information of thesimilar previous surgical procedures; and if a correlation isdetermined, outputting the correlation to facilitate planning of thesurgical procedure to be performed.
 7. The method according to claim 6,initially including: recording the surgical instrument information foreach of the plurality of previous surgical procedures during each of theplurality of previous surgical procedures; and transmitting the surgicalinstrument information for storage thereof.
 8. The method according toclaim 6, wherein receiving the procedure information corresponding tothe surgical procedure to be performed includes receiving the procedureinformation from at least one of a manual input or an EMR.
 9. The methodaccording to claim 6, wherein receiving the patient informationcorresponding to the surgical procedure to be performed includesreceiving the procedure information from at least one of a manual inputor an EMR.
 10. The method according to claim 6, wherein the patientinformation for each of the plurality of previous surgical proceduresand the patient information for the surgical procedure to be performedeach includes patient demographic information.
 11. The method accordingto claim 6, wherein the procedure information for each of the pluralityof previous surgical procedures and the procedure information for thesurgical procedure to be performed each includes information regardingat least one surgical task.
 12. The method according to claim 6, whereinthe surgical instrument information for each of the plurality ofprevious surgical procedures includes surgical instrument typeinformation and surgical instrument activation information.
 13. Themethod according to claim 6, further comprising: identifying previouslydetermined correlations; and if previously determined correlations areidentified, outputting the previously determined correlation tofacilitate planning of the surgical procedure to be performed.
 14. Amethod for evaluating performance of a surgical procedure, the methodcomprising: storing, for each of a plurality of previous surgicalprocedures: surgical instrument information, procedure information, andpatient information; receiving surgical instrument information,procedure information, and patient information corresponding to asurgical procedure to be evaluated; identifying target previous surgicalprocedures based on the procedure information and the patientinformation of the plurality of previous surgical procedures; comparingthe surgical instrument information of the surgical procedure to beevaluated with the surgical instrument information of the targetprevious surgical procedures; and outputting the comparison to enableevaluation of performance of the surgical procedure to be evaluated. 15.The method according to claim 14, wherein identifying the targetprevious surgical procedures includes comparing the procedureinformation and the patient information of the surgical procedure to beevaluated with the procedure information and the patient information ofthe plurality of previous surgical procedures.
 16. The method accordingto claim 14, wherein identifying the target previous surgical proceduresincludes searching the procedure information and the patient informationof the plurality of previous surgical procedures for target information.17. The method according to claim 14, wherein the target previoussurgical procedures are identified based on the procedure informationand the patient information of successful ones of the plurality ofprevious surgical procedures.
 18. The method according to claim 14,wherein the patient information for each of the plurality of previoussurgical procedures and the patient information for the surgicalprocedure to be evaluated each includes patient demographic information.19. The method according to claim 14, wherein the procedure informationfor each of the plurality of previous surgical procedures and theprocedure information for the surgical procedure to be evaluated eachincludes information regarding at least one surgical task.
 20. Themethod according to claim 14, wherein the surgical instrumentinformation for each of the plurality of previous surgical proceduresand the surgical instrument information for the surgical procedure to beevaluated each includes surgical instrument type information andsurgical instrument activation information.